Provider Demographics
NPI:1477326338
Name:OATIS-BARK, JOYCE
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:
Last Name:OATIS-BARK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 TIMBER EDGE DR
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-6392
Mailing Address - Country:US
Mailing Address - Phone:337-322-2162
Mailing Address - Fax:
Practice Address - Street 1:103 TIMBER EDGE DR
Practice Address - Street 2:
Practice Address - City:YOUNGSVILLE
Practice Address - State:LA
Practice Address - Zip Code:70592-6392
Practice Address - Country:US
Practice Address - Phone:337-322-2162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator